Burgess Philip, Pirkis Jane, Jolley Damien, Whiteford Harvey, Saxena Shekhar
The University of Queensland, Queensland Centre for Mental Health Research, Wacol, Australia.
Aust N Z J Psychiatry. 2004 Nov-Dec;38(11-12):933-9. doi: 10.1080/j.1440-1614.2004.01484.x.
To test the hypothesis that the presence of national mental health policies, programs and legislation would be associated with lower national suicide rates.
Suicide rates from 100 countries were regressed on mental health policy, program and legislation indicators.
Contrary to the hypothesized relationship, the study found that after introducing mental health initiatives (with the exception of substance abuse policies), countries' suicide rates rose.
It is of concern that most mental health initiatives are associated with an increase in suicide rates. However, there may be acceptable reasons for the observed findings, for example initiatives may have been introduced in areas of increasing need, or a case-finding effect may be operating. Data limitations must also be considered.
检验国家心理健康政策、项目和立法的存在会与较低的国家自杀率相关这一假设。
对100个国家的自杀率与心理健康政策、项目和立法指标进行回归分析。
与假设的关系相反,该研究发现,在引入心理健康举措(药物滥用政策除外)后,各国的自杀率上升了。
令人担忧的是,大多数心理健康举措都与自杀率上升有关。然而,对于观察到的结果可能存在合理的原因,例如举措可能是在需求增加的地区推出的,或者可能存在病例发现效应。还必须考虑数据限制。